Pathology Residency Clinical Training | NYU Long Island School of Medicine | NYU Langone Health

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Pathology Residency Pathology Residency Clinical Training

Pathology Residency Clinical Training

NYU Long Island School of Medicine’s Pathology Residency offers clinical training that prepares participants for a successful and rewarding career in pathology.

Our residents gain valuable hands-on experience through a variety of clinical rotations. Training sites include NYU Langone Hospital—Long Island, NYU Langone’s Tisch Hospital, NYC Health + Hospitals/Bellevue, Long Island Jewish Medical Center Northwell Health, and the New York City Medical Examiner Office of Queens. Didactic and research training complement our clinical rotations.

Program Details

The Pathology Residency curriculum is tailored to a four-year anatomy pathology and clinical pathology track or a three-year anatomy pathology only track. Residents also have elective rotations and on-call responsibilities.

Postgraduate Year 1

The first two blocks of training in postgraduate year 1 (PGY-1) start with an eight-week anatomic pathology boot camp where residents become familiar with the department and hospital workflow and learn how to handle their future responsibilities independently. Boot camp includes learning to handle surgical pathology specimens and autopsies. During this time, new residents are taught and supervised by pathology assistants, senior residents, and staff pathologists who help ease the transition into pathology residency.

This is followed by two weeks of introduction to clinical pathology, where residents rotate through all clinical laboratories and become familiar with the clinical laboratory governing body and policies.

The remainder of the anatomic pathology PGY-1 experience is divided between covering autopsy in our newly renovated state-of-the-art morgue and surgical pathology subspecialty sign-out at NYU Langone Hospital—Long Island. Subspecialty sign-out includes gastrointestinal, genitourinary, breast, gynecologic, pulmonary, and frozen section pathology. Our PGY-1 residents also spend eight weeks working in the blood bank, two weeks learning medical informatics, and four weeks in cytopathology.

Postgraduate Year 2

Our PGY-2 residents spend three four-week blocks in surgical pathology, similar to the PGY-1 subspecialty rotation but with more responsibilities. The four-week autopsy rotation is paired with neuropathology, where residents gain exposure to all neuropathology frozen sections and sign out cases with the neuropathologist.

A four-week cytology rotation is spent at Bellevue, where residents focus on gynecologic cytology and perform hands-on fine-needle aspiration procedures. A four-week forensic pathology rotation at the New York City Medical Examiner Office of Queens exposes residents to various forensic pathology cases and daily didactic lectures.

PGY-2 residents continue to gain a foundation in clinical pathology by participating in eight-week clinical chemistry, hematology, and microbiology rotations. Residents gain additional clinical expertise in these laboratories through assigned virtual MediaLab modules, presentations, and one-on-one didactic sessions with the lab directors. Residents also spend four weeks in the hematopathology service at Tisch Hospital.

Postgraduate Year 3

Progressive responsibilities in surgical pathology are given to PGY-3 residents as they participate in subspecialty rotations in anatomic pathology. These rotations mimic the same subspecialties as their PGY-1 and PGY-2 years.

PGY-3 residents rotate through three four-week blocks in gastroenterology, genitourinary, gynecologic, breast, pulmonary, and frozen section pathology. They also have a four-week rotation in cytology. A four-week rotation in dermatopathology is offered at Long Island Jewish Medical Center Northwell Health. PGY-3 resident spends another four weeks in hematopathology and molecular pathology rotations at Tisch Hospital to solidify their knowledge in these fields.

Residents also spend four weeks in immunology, four weeks in cytogenetics, and two weeks in clinical pathology management (CPM) rotations learning important lab director skills in evidence-based practice, instrument validation, and laboratory mathematical statistics. During the four-week rotation in immunohistochemistry, PGY-3 residents perform validation studies of new antibodies. Trainees are also involved in performing internal lab self-inspections and have opportunities to travel for off-site inspections with the College of American Pathologists.

Postgraduate Year 4

Now that residents are almost ready to start a career in pathology, PGY-4 trainees begin to practice as junior-level attendings with no grossing, or specimen prosection, responsibilities. Residents are comfortable writing complete surgical pathology reports that are reviewed by their service attendings, who provide them with feedback. Residents independently work up their cases with acceptable limitations and take on more responsibilities in multidisciplinary tumor boards and frozen sections.

The cytopathology and autopsy four-week rotations grant the resident similar graduated responsibilities. A four-week blood bank rotation and hematology rotations are excellent opportunities for PGY-4 residents to work in these laboratories as junior attendings in a lab director capacity.

The PGY-4 returns to CPM rotations, totaling eight weeks, focusing on laboratory safety and root cause analysis during CPM-1 and quality, laboratory finances, and test utilization during CPM-2. Three four-week electives in research and self-study opportunities are available for PGY-4 residents.

Residency On-Call Schedule

Overnight and weekend calls cover anatomic and clinical pathology simultaneously, with an average of once-a-week evening calls for junior residents and less frequent calls for senior residents.

Weekend calls start on Friday at 3:00PM and last until Sunday at 7:00AM. Saturday call includes triage of large surgical pathology specimens, submission of rush biopsies, frozen sections, and responding to clinical pathology calls. The resident on autopsy rotation covers Sunday call. In the first three weekend calls, a PGY-1 resident is accompanied by a senior resident. We offer flexibility in on-call allocation to accommodate individual needs.

Generally, calls can be taken from home unless there is a specific reason the resident must come in. Autopsies are performed on weekdays except in rare circumstances.